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Closer working between care home staff and visiting healthcare professionals could improve residents' health
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH. Dissemination Centre
- Publisher:
- National Institute for Health Research
- Publication year:
- 2016
- Place of publication:
- London
This NIHR Signal looks at the findings of NIHR-funded research to understand how different service delivery models for care home residents support or improve wellbeing and health-related outcomes in older people living and dying in care homes. The realist review involved a review of literature and interviews with care home staff and service organisers to understand how some models worked better than others. It found that promoting integration between care home staff and visiting healthcare professionals was the common success ingredient behind efforts to improve residents’ health. This involved things like staff jointly identifying, planning and implementing care procedures. Other approaches, like paying doctors to do more in care homes, and or investing in training of care home staff, were not linked to better outcomes on their own. NIHR Signals highlight examples of important research and explain why the study was needed, what the study found and the implications of the findings. They include commentary from experts, researchers and those working in practice. (Edited publisher abstract)
Power of suggestion
- Author:
- BAILEY Sue
- Journal article citation:
- Community Care, 15.7.04, 2004, pp.40-41.
- Publisher:
- Reed Business Information
A former residential care home reinvented three years ago as a ground-breaking rehabilitation unit staffed by health and social services which had previously been a flagship for joint working began to fail. Looks at how the situation was improved by consulting with the unit's staff and acting on their suggestions.
Developing partnerships at 67 Birch Avenue Nursing Home: the Support 67 Action Group
- Authors:
- DAVIES Sue, et al
- Journal article citation:
- Quality in Ageing, 4(4), December 2003, pp.32-37.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Describes a partnership project between staff, residents and relatives at a nursing home for older people with dementia, and researchers at the University of Sheffield. The aim of the partnership was to develop care within the home and to create a positive environment for living, working and learning. The main principle was the need to ensure that all participants: residents, relatives and staff, feel that they are valued members of the community. The project is using an action research approach and a range of methods, including: observation; interviews; questionnaires; process recording of meetings; and focus groups, to gather evidence about the research process and impact of the project. The article includes a summary of achievements to date and suggestions for future activity.
Policy, organisation and practice of specialist old age psychiatry in England
- Authors:
- CHALLIS David, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(11), November 2002, pp.1018-1026.
- Publisher:
- Wiley
The aim of this article is to describe and compare service arrangements in old age psychiatry across England according to three broad domains: levels of professional autonomy; degree of community orientation (delivery of and links with community services) and degree of integration between health and social care provision. The findings indicate that there is marked variation in the deployment and use of professional staff in old age psychiatry, ranging from open access to multidisciplinary assessment to services only accessible by clinician referral. Patterns of linkage with primary care are likewise variable with only half of services providing the types of support recommended by the Audit Commission. Community orientation was evident to a considerable extent in support to care homes and assessment practices. Links between health and social care appeared strongest in terms of liaison and training. There was less evidence of more formal integration through shared management of staff or for links with intensive home support for those with dementia.
A united front
- Author:
- WHITE Caroline
- Journal article citation:
- Community Care, 3.6.99, 1999, pp.30-31.
- Publisher:
- Reed Business Information
Describes how beating the blame culture and admitting wrongs has led a Wiltshire Joint discharge project to success by establishing a relationship or trust between those involved.
Research on community care: social work and community care and community care arrangements for older people with dementia
- Authors:
- WEBB Sarah, MORIARTY Jo, LEVIN Enid
- Publisher:
- National Institute for Social Work. Research Unit
- Publication year:
- 1998
- Pagination:
- 28p.
- Place of publication:
- London
Short report summarising two separate studies documenting some of the changes that have taken place since the full implementation of the NHS and Community Care Act 1990 five years ago. Looks at the changes as they were experienced by staff in SSDs, users and carers. The first report focuses specifically at the mixed economy of care and the second at services for older people with dementia.
Developing a joint mental health strategy for elders
- Author:
- HILL Kathryn
- Journal article citation:
- Mental Health Review, 6(2), June 2001, pp.14-17.
- Publisher:
- Pier Professional
Reports on the development of a joint mental health strategy for older people in a central London Borough. The project brought together clinicians and practitioners from a variety of settings, the voluntary sector, and users and carers. The aim of the project was to develop a shared philosophy of care based on promoting independence and from this to identify the components of a spectrum of care that would meet the wide range of needs of elders with mental ill health. The borough had high levels of deprivation, unemployment and poor housing. In addition there was a rich ethnic diversity within the borough.
Best practice forum: dementia. Making people matter
- Author:
- -
- Journal article citation:
- Community Care, 18.11.99 Special Supplement, 1999, pp.v-vi.
- Publisher:
- Reed Business Information
The work of the winner: Alan McLure House advocacy project; and runners up: Cambridge person centred dementia care project, Waltham Forest Dementia Support Service and support groups run by Admiral Nurses, of this category are described.